ZNA-13663-72844
3 vaccinations
4 coded responses
37 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 809 / CO
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-15
Registered in v-safe
-
2021-02-15
Dose 1 — Moderna
- 2021-02-15
-
2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Skin discolouration — Feeling: Good · Site: PainFree text: My left hand turned a light shade if purple yesterday about 8 hrs post shot. My right hand did not. I noticed it lasted about 5 minutes. I had received the shot in my left arm. No pain but it looked wierd, almost scary. This had never happened before .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-03-01
- 2021-03-08
-
2021-03-15
Dose 2 — Moderna
- 2021-03-15
-
2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-17
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-30
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-06-14
- 2021-09-15
-
2021-11-16
Dose 3 — Moderna
- 2021-11-18
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-23
-
2021-11-30
Survey response — day 14, dose 3MedDRA: Fatigue, Peripheral coldness — Feeling: GoodFree text: Tired and feet were cold. Nice weather outside.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-07
Survey response — day 21, dose 3MedDRA: Oral herpes — Feeling: GoodFree text: I had 3 cold sores on my lip. I have never had more than one at a time before. I seldom get any. They are gone now.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-14
- 2021-12-21
- 2021-12-28
- 2022-02-15
-
2022-05-17
Survey response — 6 months, dose 3MedDRA: Uterine cancer — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Uterine cancerMedDRA releases: 2024-11 · check-in free text available
-
2022-05-17
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-05-18
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-15 | Moderna | |
| 2 | 2021-03-15 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-17 | Successful 2022-05-18 |
Participant prefers to complete VAERS report online |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): My left hand turned a light shade if purple yesterday about 8 hrs post shot. My right hand did not. I noticed it lasted about 5 minutes. I had received the shot in my left arm. No pain but it looked wierd, almost scary. This had never happened before .
Release 10 — day 14, dose 3
Symptoms: Tired and feet were cold. Nice weather outside.
Release 10 — day 21, dose 3
Symptoms: I had 3 cold sores on my lip. I have never had more than one at a time before. I seldom get any. They are gone now.
Release 11 — 6 months, dose 3
Symptoms: Uterine cancer
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Fatigue | · | · | ✓ |
| SD | Oral herpes | · | · | ✓ |
| SD | Peripheral coldness | · | · | ✓ |
| SD | Uterine cancer | · | · | ✓ |
| SRO | Skin discolouration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release